Individual
KYLE HAGENBUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
736 IRVING AVE, SYRACUSE, NY 13210-1687
(315) 470-8805
(315) 470-1337
Mailing address
47 NEW SCOTLAND AVE, ALBANY, NY 12208-3412
(518) 262-5377
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
308782-01
NY
208M00000X
Hospitalist Physician
Primary
308782
NY
Other
Enumeration date
03/22/2018
Last updated
04/16/2024
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